Active NPI
Criterion Medical PLLC
- Addiction Medicine (Preventive Medicine) Physician
- Middletown, NY
National Provider Identifier
1194414771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- CRITERION MEDICAL PLLC
- Practice address
- 59 North St
Middletown, NY 10940-5062 - Phone
- (845) 324-5702
- NPI assigned
- May 1, 2023
- Last updated
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omotayo Majekodunmi, MD
- Title
- Physician
- Phone
- (301) 526-8581
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | NU | Primary |
Addresses
Primary practice location
59 North St
Middletown, NY 10940-5062
Mailing address
16 Ford CT
Monroe, NY 10950-4946
National Provider Directory
National Provider DirectoryLocations
59 North St
Middletown, NY 10940
Phone (212) 299-9976
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Student in an Organized Health Care Education/Training Program
- Somerset, NJ
- NPI 1700041647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1194414771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FORD CT",
"city": "MONROE",
"state": "NY",
"postal_code": "109504946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 NORTH ST",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405062",
"telephone_number": "845-324-5702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITERION MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-30",
"status": "A",
"authorized_official_last_name": "MAJEKODUNMI",
"authorized_official_first_name": "OMOTAYO",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-526-8581",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.